06 September 2021
During a routine inspection
This service is rated as Good overall.
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? – Good
We carried out our first announced comprehensive inspection at The Slimming Clinic as part of our inspection programme following the registration of a new service.
The Slimming Clinic provides an online and telephone service to support people to manage their weight across the United Kingdom. This can include prescribed medicines and lifestyle advice including, counselling, dietary and movement advice.
The service manager is the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
As the service is provided remotely, they were asked to email patients who had an appointment with a doctor during the week of the inspection. The email invited the patients to provide feedback via the CQC ‘Give feedback on care’ web page. Five patients provided feedback via the website. Four patients provided very positive feedback. The feedback focused on staff listening and wanting to understand what they [the patient] wanted to achieve. However, one patient raised a concern in their feedback, but they also highlighted the way staff listened.
Our key findings were:
- Patients were positive about the staff and the service
- Staff displayed an understanding and non-judgmental attitude to all patients
- Prescribing and record keeping were in line with the provider’s policies
- There was a focus on continuous learning and improvement
We saw the following outstanding practice:
- The service had undertaken a clinical review of the effectiveness of the weight loss programmes offered by the service. This included a comparison to alternative weight loss providers. A further clinic review assessed the effectiveness of the different medicines they prescribed. Following the reviews, additional mandatory fields were added to the patient record system to improve the consistency of patient records.
- Reasonable adjustments were made for people who found reading and writing difficult through the recording of consent verbally.
The areas where the provider should make improvements are:
- The service should record the discussion and decision to prescribe unlicensed medicines where alternative licensed medicines are available.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care